NPI | 1578170239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018540) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014346) |
Enumeration Date | 2020-09-28 |
Last Update Date | 2022-11-03 |