| NPI | 1174909808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO NLC.0104555) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-05-12 |