| NPI | 1225490543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001663) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 240169) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-03-03 |