| NPI | 1053781146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0206261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2316-226) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2019-09-27 |