| NPI | 1639680150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0013732) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2020-07-15 |