| NPI | 1912552456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0023399) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0003151) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2026-04-27 |