| NPI | 1497904908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0004148) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0005202) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2020-08-25 |