| NPI | 1629471883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002102) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-14-9539) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2022-07-02 |