| NPI | 1659853372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017725) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91601) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.002186) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-05-31 |