| NPI | 1750179032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0221) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM 352776) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |