| NPI | 1649719295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0203551) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0186631) |
| 101YP2500X Counselor, Professional (Licence: TX 94009) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-06-12 |