| NPI | 1336274604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO CO406) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 406 LMFT) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-03-08 |