| NPI | 1740532811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1026) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50981) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |