| NPI | 1043689219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0012243) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-05-27 |