| NPI | 1023027612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM LMHC - 0089311) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0129901) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-06-10 |