NPI | 1033262043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 00993071) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 733) |
Enumeration Date | 2007-01-21 |
Last Update Date | 2019-10-22 |