| NPI | 1285842906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0003999) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LCSW 414) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-02-17 |