NPI | 1770703159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0110516) |
225100000X Physical Therapist (Licence: CO 8536) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2021-10-12 |