| NPI | 1922291632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 654) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 36843) |
| 101YP2500X Counselor, Professional (Licence: CO #654) | |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2012-01-09 |