| NPI | 1588029565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0015244) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0014005) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2019-04-02 |