| NPI | 1598920993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 639) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3345) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |