| NPI | 1821596792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0209441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0172041) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-11-10 |