| NPI | 1114164191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC0013860) |
| 101YM0800X Counselor, Mental Health (Licence: OH C0800068) | |
| 106H00000X Marriage & Family Therapist (Licence: OH M080011) | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT0001434) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2017-09-21 |