| NPI | 1326164948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 4432) |
| 103TC0700X Psychologist, Clinical (Licence: CO 3183) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-10-14 |