NPI | 1295074334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 4301) |
103TC0700X Psychologist, Clinical (Licence: CO 4301) | |
103TC1900X Psychologist, Counseling (Licence: CO 4301) | |
106H00000X Marriage & Family Therapist (Licence: CO 4301) | |
Enumeration Date | 2013-02-09 |
Last Update Date | 2023-12-21 |