| NPI | 1609008861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY1673) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0122251) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-02-20 |