| NPI | 1932741709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2006025) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0199311) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-07-15 |