| NPI | 1225153935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5345) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-05-07 |