| NPI | 1376971267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0208391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 87880036004) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2019-12-12 |