| NPI | 1891112801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0189701) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-10-08 |