| NPI | 1144502352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0011247) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0011247) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-09-11 |