NPI | 1487342069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022332) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014445) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2025-06-04 |