| NPI | 1093814832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY-2928) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY-2928) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT-550) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-07-21 |