| NPI | 1679116362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 101067) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001495) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t20043) | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002048) | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013980) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2021-11-05 |