| NPI | 1962077222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020660) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2854) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013912) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-05-07 |