NPI | 1134670490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001458) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000716) |
106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013593) | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2023-09-22 |