| NPI | 1063841997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0185571) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM T-0161171) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0185571) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2021-03-15 |