| NPI | 1336494962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM CCMH0166301) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NM CCMH0166301) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2024-12-29 |