| NPI | 1588814636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0004952) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0014308) |
| 103TC1900X Psychologist Counseling (Licence: KS 1212) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-07-31 |