NPI | 1780920850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0157561) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0155091) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2017-05-04 |