| 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 |