NPI | 1336250588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001725) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT47215) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-12-16 |