| NPI | 1346629086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001205) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000491) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166001009) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |