NPI | 1881356236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0344) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM CMH0213301) |
Enumeration Date | 2021-10-12 |
Last Update Date | 2023-05-09 |