| NPI | 1114396033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001257) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0011990) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-02-06 |