| NPI | 1639471402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0002024) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51890) |
| 106H00000X Marriage & Family Therapist (Licence: OR T2113) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-03-03 |