| NPI | 1194011916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0193101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0147881) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-03-17 |