| NPI | 1306242474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH200151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68716) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2018-11-09 |