| NPI | 1902604440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CBT-2025-0077) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NM CTB-2025-0077) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-05-07 |