NPI | 1457415549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 000930) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 40651) |
101YM0800X Counselor, Mental Health (Licence: CO 000930) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2017-02-15 |