| NPI | 1689820656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0166601) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2014-11-04 |