| NPI | 1235626011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC0014074) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 5845T) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2021-04-16 |