| NPI | 1750153946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0810) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM 393659) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-12-21 |