| NPI | 1235577735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: NM 0189251) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2018-06-01 |