| NPI | 1245884931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1240) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-12-02 |