| NPI | 1528343506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM CCMH0205031) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM T-0142531) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2023-11-27 |