| NPI | 1720754856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002286) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007297) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-10-24 |