| NPI | 1750518197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1037) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6493) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2021-02-03 |