NPI | 1992296883 |
---|---|
Former Name | AMANDA COLANGELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013513) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0013753) |
Enumeration Date | 2018-05-25 |
Last Update Date | 2018-05-25 |