| NPI | 1205228640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014280) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-05-09 |