NPI | 1477004356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001706) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF81275) |
106H00000X Marriage & Family Therapist (Licence: CA 101547) | |
Enumeration Date | 2016-10-17 |
Last Update Date | 2023-05-26 |