| NPI | 1275137838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005696) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014494) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-11-15 |