| NPI | 1306208947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0196781) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 86131) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-09-24 |