NPI | 1801407382 |
---|---|
Former Name | MARY SCHIMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014311) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0017575) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2025-04-09 |