| NPI | 1346708120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0220261) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NM CMF0220261) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-10-23 |