| NPI | 1679885800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1307) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79060) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2016-11-18 |