| NPI | 1629216791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0073911) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0073911) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |