| NPI | 1154581908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005698) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 4172) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2025-03-25 |