| NPI | 1811649163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0214871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CCMH0214871) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-08-08 |