| NPI | 1811015647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0128131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0110021) |
| 101YP2500X Counselor, Professional (Licence: TX 66211) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-05-18 |