| NPI | 1548677545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011475) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-06-16 |