| NPI | 1740517135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001144) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2015-01-02 |