| NPI | 1356483853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1112) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1358) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-10-13 |