| 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 |