| NPI | 1205145877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0148481) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM T-0135011) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2013-09-06 |