| NPI | 1366749665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CTB-2024-0379) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2025-04-07 |