NPI | 1720324239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001474) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-01-02 |
Last Update Date | 2021-04-05 |