NPI | 1124649199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018682) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002314) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2023-01-13 |