| NPI | 1083947212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5912) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 1440) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2018-11-02 |