| NPI | 1154980704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO .0001711) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3599) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-03-03 |