| NPI | 1629527528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0214781) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CAMF0203991) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: NM T-CLTL0200271) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2021-01-05 |