| NPI | 1669742235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 3984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5474) |
| 103T00000X Psychologist (Licence: CO 3984) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2023-02-25 |