| NPI | 1659542553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 416) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3329) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2009-09-18 |