| NPI | 1003009432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0109041) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0109031) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0102221) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-11-16 |