| NPI | 1932501400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO NLC.0103427) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001341) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-12-06 |