| NPI | 1356804991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0203301) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 1165835) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |