| NPI | 1700265303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0186101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: pre-licensed) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2017-01-10 |