| NPI | 1821467374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM C-09226) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-04-21 |