NPI | 1114505104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002163) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-03-31 |
Last Update Date | 2022-12-27 |