| NPI | 1871159558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0208191) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CSA0202601) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-11-21 |