NPI | 1679901623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001334) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001966) |
106H00000X Marriage & Family Therapist (Licence: MN 4296) | |
101Y00000X Counselor | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2022-05-10 |