| NPI | 1770293862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2026-0502) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0293) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2026-06-16 |