| NPI | 1942433818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CMF-0168801) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM T-0141541) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2019-10-10 |