| NPI | 1043596893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-1240) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2018-11-17 |