| NPI | 1316560261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015740) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013793) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-08-21 |