NPI | 1518791342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014474) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0020943) |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-08-26 |