| NPI | 1235107137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0133601) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA MFC 41633) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC 41633) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0133601) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-10-09 |