| NPI | 1134408438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0171371) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMF0171371) |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0141371) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-04-26 |