| NPI | 1992363147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002559) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 140511) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-06-02 |