| NPI | 1801454764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CBT-2022-0723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL020211) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-09-16 |