| NPI | 1154840858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001864) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97145) |
| 106H00000X Marriage & Family Therapist (Licence: CA 121819) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-11-04 |