| NPI | 1124244751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 14371) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-08-05 |