| NPI | 1710205653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 11501) |
| 106H00000X Marriage & Family Therapist (Licence: CO 11501) | |
| 103TC1900X Psychologist, Counseling (Licence: CO 11501) | |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2014-10-16 |