| NPI | 1346725041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0206581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73884) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-08-05 |