| NPI | 1245807817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2024-0433) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CTB20230562) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-12-19 |