| NPI | 1871274639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0546) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-08-19 |