| NPI | 1417544248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002039) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0013928) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-09-28 |