| NPI | 1841314572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM T-0088261) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH10201) |
| 101YP2500X Counselor Professional (Licence: FL MH10201) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-04-27 |