| NPI | 1700265303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0217921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: pre-licensed) |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0186101) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2025-07-14 |