| NPI | 1821973876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0339) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CTB-2025-0339) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |