NPI | 1396588653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020762) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO LPC.0020762) |
Enumeration Date | 2024-06-14 |
Last Update Date | 2024-06-14 |