NPI | 1659640175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 13185) |
106H00000X Marriage & Family Therapist (Licence: FL 4860) | |
106H00000X Marriage & Family Therapist (Licence: NV 4673-R) | |
Enumeration Date | 2011-12-29 |
Last Update Date | 2024-06-11 |