| NPI | 1740429695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3419) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5149) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2018-09-18 |