| NPI | 1003395377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0199431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0198261) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-03-13 |