| NPI | 1790018927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0146891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0124991) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2014-06-13 |