| NPI | 1326004532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0121451) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0080001) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-05-25 |