| NPI | 1174096325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0014058) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO CG60928614) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60928614) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-11-27 |