| NPI | 1528671245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CTB20230427) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM CMH0212271) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-05-25 |