| NPI | 1639476500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 367) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 33271) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2022-05-25 |