| NPI | 1669560637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0099731) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0087911) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-03-19 |