| NPI | 1447624622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0219451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0182731) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2023-07-18 |