NPI | 1205351996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013869) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0106975) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2019-06-19 |