| NPI | 1033349881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3473) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 103TF0200X Psychologist, Forensic | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2010-09-08 |