| NPI | 1023362944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001193) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0012170) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-05-18 |