| NPI | 1053824201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0192761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: T-0192761) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |