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 |