| NPI | 1467481309 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003956)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4020)  | 
| 103T00000X Psychologist (Licence: CO 3965)  | |
| Enumeration Date | 2006-07-02 | 
| Last Update Date | 2024-05-14 |