| NPI | 1013296219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004000) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-04-22 |