| NPI | 1629240635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 4057) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 3668) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2025-06-02 |