| NPI | 1235491366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012341) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2015-04-09 |