| NPI | 1265757421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0154181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0129361) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2024-07-01 |