| NPI | 1740927953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0610) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-02-11 |