| NPI | 1831794957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0214431) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-11-28 |