| NPI | 1790037174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001587) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 12183) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0012183) | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2024-09-12 |