| NPI | 1275102956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1896) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 517) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |