| NPI | 1104235779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013765) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2586) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-12-13 |