| NPI | 1114443017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001902) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2021-02-15 |