| 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 |