| NPI | 1417100652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 4914) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 842) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2022-06-09 |