| NPI | 1609082544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001606) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42907) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-10-08 |