| NPI | 1043515844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0156081) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0152021) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2013-02-08 |