| NPI | 1427784701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2024-0060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-0872) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-01-13 |