| NPI | 1295021525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 3824) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist Counseling | |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2018-03-17 |