| NPI | 1114357258 |
|---|---|
| Former Name | KATHLEEN G. GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO LPC0004845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO MFT0000868) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2016-08-29 |