| NPI | 1356995146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001727) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC.0012626) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-10-01 |