| NPI | 1770195380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0541) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM CSA0211311) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-07-07 |