| NPI | 1457330508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH3580) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 23686) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2008-03-06 |