| NPI | 1497032072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2022-0715) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2024-03-13 |