| NPI | 1316529662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005962) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016687) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016687) | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-10-28 |