| NPI | 1770798837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2254) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CO 2254) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 2254) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CO 2254) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 2254) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-05-28 |