| NPI | 1144685538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0219141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTL0197211) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2021-08-17 |