| 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 |