NPI | 1346897634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2022-0112) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM CAMF0213311) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2023-02-21 |