| NPI | 1255757704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0201601) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM T-0177061) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2022-05-25 |