| NPI | 1750011854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0849) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CTB-2024-0849) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-02-11 |