NPI | 1790369528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0438) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017449) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2023-10-20 |