| NPI | 1982253399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB20230434) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-11-27 |