NPI | 1235676974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013492) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013487) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |