| NPI | 1659713857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 4837) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 1589) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2020-11-05 |