| NPI | 1568188647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0669) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-05-21 |