| NPI | 1720444664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0213981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0172631) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-07-05 |