| NPI | 1669728978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO LPC.0014427) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012024649) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-10-23 |