| NPI | 1063910420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0193261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0193261) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |