| NPI | 1528796893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014317) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019573) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |