| NPI | 1164060752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA MFT1469) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0018290) |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002165) | |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2022-08-08 |