| NPI | 1144523200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0201891) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0212061) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1409) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2024-01-03 |