| NPI | 1043530157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM T-0151511) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2015-05-11 |