| NPI | 1669721957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1028) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 013245) |
| 106H00000X Marriage & Family Therapist (Licence: CO 11807) | |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2012-09-03 |