NPI | 1669091922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016573) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0002445) |
106H00000X Marriage & Family Therapist (Licence: CO LPCC.0016001) | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-02-09 |