| NPI | 1952453888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001104) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001360) |
| 101YM0800X Counselor, Mental Health (Licence: CO 3883) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0003883) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-03-29 |