| NPI | 1790122513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001541) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 70954) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-08-11 |