| NPI | 1821242579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0116881) |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0131101) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0138761) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2022-05-17 |