| NPI | 1427423177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0196561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0172911) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2019-02-25 |