| NPI | 1750889903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0213411) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CMH-0192121) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-09-24 |