| NPI | 1730781345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CMH0212841) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: NM CTB-2022-0934) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-12-06 |