| NPI | 1922335892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 4917376-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0015) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2024-07-29 |