| NPI | 1710470489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CBT-2022-0761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75454) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-02-25 |