| NPI | 1689816837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0147991) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM T - 0121911) |
| 101YP2500X Counselor Professional (Licence: CA 10634) | |
| 101YP2500X Counselor Professional (Licence: NM T-0142131) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2023-02-23 |