| NPI | 1952637803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0159131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0126261) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2024-01-22 |