| NPI | 1053807313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MSMFT.0000005) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM678) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2022-08-01 |