NPI | 1497362826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0017848) |
Additional Taxonomies | 103TF0000X Psychologist, Family |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |