| NPI | 1770755415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0176961) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: NM T - 0153011) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2017-05-03 |