| NPI | 1104974260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0096411) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0080571) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |