| NPI | 1275703423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0003305) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 4752) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-03-30 |