| NPI | 1184836579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 4651) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5404) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2019-03-07 |