| NPI | 1578081311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0211901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0191171) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-12-16 |