| NPI | 1306170360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07701) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2011-08-10 |