| NPI | 1023419777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0208691) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70309) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2024-04-20 |