| NPI | 1275196990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MFTC.0013890) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013890) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |