| NPI | 1770631806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0173561) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0068162) |
| 101YS0200X Counselor, School (Licence: NM 258843) | |
| 221700000X Art Therapist (Licence: NM CAT0068162) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-07-20 |