| NPI | 1932332186 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001285)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011446)  | 
| Enumeration Date | 2009-09-03 | 
| Last Update Date | 2017-02-03 |