NPI | 1922417104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001535) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-08-12 |
Last Update Date | 2023-12-18 |