NPI | 1811382401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001496) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014337) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2022-07-14 |