| NPI | 1912749755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 96857) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0161) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-11-15 |