| NPI | 1003008202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-06235) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM I-06235) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-07-21 |