| NPI | 1043532633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM B-07357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 52886) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-11-11 |