| NPI | 1134355951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM T-0121101) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM T-0120211) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |