| NPI | 1972032563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0217651) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0196401) | |
| 101YM0800X Counselor, Mental Health (Licence: NM CCMH0217651) | |
| 101YM0800X Counselor, Mental Health (Licence: NM T-CL0196401) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-11-02 |