| 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 |