| NPI | 1497939466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 125681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0086231) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2021-10-18 |