NPI | 1962019349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0296) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM 386595) |
Enumeration Date | 2020-09-29 |
Last Update Date | 2024-05-13 |