NPI | 1629519533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001446) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2017-03-10 |
Last Update Date | 2024-10-21 |