| NPI | 1750694857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1361) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |