| NPI | 1063165330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1306) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03103) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |