| NPI | 1134534506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT000.1505) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103876) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-10-09 |