| NPI | 1831840701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0018980) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0014239) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |