NPI | 1972092153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001876) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0016605) |
101Y00000X Counselor | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2020-12-09 |