| NPI | 1285870402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT1039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC6470) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2016-06-17 |