| NPI | 1093231565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCHM0213631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0185471) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |