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 |