NPI | 1083439368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014638) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021946) |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |