NPI | 1366006850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0910) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YM0800X Counselor, Mental Health (Licence: NM T-CTL0211561) | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2023-09-11 |