| NPI | 1518062496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1983) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 146) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-06-15 |