| NPI | 1881129195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001885) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104209) |
| 106H00000X Marriage & Family Therapist (Licence: CA 120265) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2021-03-17 |