| NPI | 1013992296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO LMFT # 1028) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO SAP 12243) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC # 25628) | |
| Enumeration Date | 2005-12-11 |
| Last Update Date | 2013-07-29 |