| NPI | 1528135076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 1571) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 1571) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-09-11 |