| NPI | 1306979968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC-5653) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC-5653) |
| 106H00000X Marriage & Family Therapist (Licence: CO LPC-5653) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-11-14 |