| NPI | 1699912055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0134511) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0134511) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0091511) | |
| 101YS0200X Counselor, School (Licence: NM 316734) | |
| 103T00000X Psychologist (Licence: NM 316734) | |
| 103TC0700X Psychologist, Clinical (Licence: NM CCMH0134511) | |
| 103TC1900X Psychologist, Counseling (Licence: NM 316734) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 316734) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NM 316734) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NM 316734) | |
| 103TS0200X Psychologist, School (Licence: NM 316734) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2021-06-15 |