| NPI | 1649845025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CMH0082661) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CMH0082661) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |