| NPI | 1548962491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-19736) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |