| NPI | 1669883104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2023-0973) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD-0223731) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2024-09-09 |