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 |