| NPI | 1528466588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0196551) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CCMH0196551) |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-05-24 |