| NPI | 1982738936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 1920) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-1825) |
| 106H00000X Marriage & Family Therapist (Licence: NM 1921) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |