| NPI | 1417142738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0216781) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 62270) |
| 101YP2500X Counselor, Professional (Licence: NM 0137881) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2021-06-18 |