| NPI | 1780949115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0225041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 5450) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2022-06-21 |