| NPI | 1568773190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0190311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0162741) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-11-02 |