| NPI | 1821309576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001249) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2017-10-16 |