| NPI | 1639374192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0115341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T0096531) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-03-17 |