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 |