| NPI | 1003463548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001682) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT11589) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-10-11 |