| NPI | 1962866012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002205) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 18622) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2022-07-26 |