| NPI | 1306397997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019046) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12689) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002339) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-05-21 |