| NPI | 1396830923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0213141) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM LMHC: 0082641) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-04-21 |