| NPI | 1790980035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 739) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6455) |
| 101YP2500X Counselor, Professional (Licence: CO 4600) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-30 |