NPI | 1134595440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001784) |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2015-08-20 |
Last Update Date | 2020-06-30 |