| NPI | 1285980813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSY0004156) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004156) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2021-09-09 |