| NPI | 1972577146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM M-1742) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM 1375) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |