| NPI | 1992076152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY 165) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 991) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-03-28 |