| NPI | 1023076635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 382) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2796) |
| 103TC0700X Psychologist, Clinical (Licence: CA 19481) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-09-11 |