| NPI | 1588778310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0139461) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM LMHC: 0079221) |
| 101YP2500X Counselor, Professional (Licence: NM 0139461) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-02-15 |