| NPI | 1184864373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000711) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-08-21 |