| NPI | 1467704569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CMH0207121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM T0152441) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2019-12-18 |