| NPI | 1093028722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0012210) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2019-01-21 |