| NPI | 1699240754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CTB-2022-0096) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM CTL0199361) |
| 106H00000X Marriage & Family Therapist (Licence: NM CAMF0220851) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-04-19 |