| NPI | 1992008122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM CCMH0164081) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2022-10-24 |