| NPI | 1871053900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0107555) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015643) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2020-11-05 |