| NPI | 1669991840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1669991840) |
| 101YM0800X Counselor, Mental Health (Licence: NM CMH0214621) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-08-23 |