NPI | 1336822709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014512) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021191) |
Enumeration Date | 2023-08-10 |
Last Update Date | 2023-08-10 |