| NPI | 1003938861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0001063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0065132) |
| 106H00000X Marriage & Family Therapist (Licence: NM 0094031) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-06-23 |