| NPI | 1649495565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 741) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY 309) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-04-15 |