| NPI | 1013059617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1562) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-01-08 |