| NPI | 1063630309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 42828) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 704) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-11-12 |