NPI | 1871610121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0118111) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM T-0099251) |
106H00000X Marriage & Family Therapist (Licence: NM 0118111) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2022-01-26 |