NPI | 1134990104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014447) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0020643) |
Enumeration Date | 2024-01-09 |
Last Update Date | 2024-01-09 |