| NPI | 1275781494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0006015) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0004933) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2023-10-16 |