| NPI | 1609421130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO .0001519) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC44507) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |