| NPI | 1962388769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CBT-2025-0570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 99233) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |