| NPI | 1649583162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0154451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0133261) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2013-05-20 |