| NPI | 1811351372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0366) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0197301) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-05-15 |