| NPI | 1316473218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CMH0187731) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0187731) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-08-29 |