NPI | 1548398266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0125881) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0095241) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2017-03-22 |