| NPI | 1306994934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 1539) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 041) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-10-25 |