| NPI | 1962738054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0158221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0126541) |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2014-07-02 |