| NPI | 1003002676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 919) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48122) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2011-08-18 |