| NPI | 1013378637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO LPC.0014348) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO NLC.0103641) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2021-07-25 |