| NPI | 1144558156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM LPCC0150041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0127561) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2014-03-19 |