| NPI | 1770792574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200959) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-05-24 |