| NPI | 1053783530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 00991543) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-12-16 |