| NPI | 1598449647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 00200559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 00200559) |
| 106H00000X Marriage & Family Therapist (Licence: CO 00200559) | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |