| NPI | 1205128287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0168921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0172331) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2022-06-07 |