| NPI | 1396154183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0195331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0159851) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-06-22 |