| NPI | 1639596646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0205091) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-06-12 |