| NPI | 1639315021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0140161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0131051) |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0122831) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2021-04-08 |