| NPI | 1548949225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0596) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-10-02 |