| NPI | 1528545829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 164W00000X Licensed Practical Nurse (Licence: CO PN.0334836) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |