| NPI | 1790848000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 2556) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 2556) |
| 104100000X Social Worker (Licence: NM M-1545) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-03-29 |