| NPI | 1861727992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0143131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0122951) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2015-05-06 |