| NPI | 1508191628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM T-0154431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0125311) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-11-16 |