NPI | 1104584010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002075) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0002075) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-15 |