| NPI | 1063854263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NM PSY1495) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0154901) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2022-06-28 |