| NPI | 1144565359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM T-0155301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0127081) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-12-03 |