| NPI | 1689312894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSYC.00016001) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0014932) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-10-01 |