NPI | 1700253135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001460) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CO NLC.0105057) | |
Enumeration Date | 2015-09-02 |
Last Update Date | 2022-09-26 |