| NPI | 1295074334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 4301) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CO 4301) |
| 106H00000X Marriage & Family Therapist (Licence: CO 4301) | |
| 103T00000X Psychologist (Licence: CO 4301) | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2024-08-27 |