| NPI | 1013140151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0136271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0113631) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2011-06-08 |