NPI | 1285116681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM ctb-2023-0090) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2018-08-31 |
Last Update Date | 2023-11-20 |