| NPI | 1386098010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0106394) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0007964) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO .0000946) | |
| 106H00000X Marriage & Family Therapist (Licence: CO met.1631) | |
| 106H00000X Marriage & Family Therapist (Licence: CO .0001631) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-05-12 |