| NPI | 1760532238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0004032) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5032) |
| 103T00000X Psychologist (Licence: CO PSY.0004032) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-06-11 |