| NPI | 1811484892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0210051) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM T-CTL0194361) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-04-07 |