| NPI | 1114621737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00015020) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-21-51634) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-06-13 |