| NPI | 1912406539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0881) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2024-01-12 |