| NPI | 1639740947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0218931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0215831) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-03-10 |