| NPI | 1023452307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001350) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI71882) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-07-10 |