| NPI | 1740299742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 4087) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 5343) |
| 101YP2500X Counselor Professional (Licence: MO 2000174699) | |
| 103T00000X Psychologist (Licence: CO PSY.0004087) | |
| 103TC0700X Psychologist Clinical (Licence: CO PSY4087) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-10-20 |