| NPI | 1083132583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0005912) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist Clinical (Licence: CO PSYC00014730) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-05-15 |