| NPI | 1134458904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1048) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-160) |
| 101YP2500X Counselor, Professional (Licence: MT 8215) | |
| 106H00000X Marriage & Family Therapist (Licence: MT 8031) | |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2014-07-17 |