| NPI | 1114058492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001925) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000819) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0015495) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-02-25 |