| NPI | 1316094766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0003075) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 8640) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-09-03 |