NPI | 1023216330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 986115) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 986115) |
Enumeration Date | 2007-07-07 |
Last Update Date | 2007-07-08 |