| NPI | 1093048597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 2789) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM M1616) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |