| NPI | 1679642375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 006101) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 280435) |
| 104100000X Social Worker (Licence: NM B0424) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-09 |