| NPI | 1063655850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0151111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T0121921) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2023-03-24 |