NPI | 1508518671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014034) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0017417) |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-02-03 |