| NPI | 1386978641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM LPCC 0104491) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM LPAT 1046) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |