| NPI | 1932779923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CAMF0225241) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM CTL0218011) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-12-13 |