| NPI | 1104698919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002966) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014486) |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2025-11-20 |