| NPI | 1225811706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002505) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CO MFT.0002505) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2025-01-30 |