| NPI | 1083924591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0134811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5564) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2013-11-18 |