| NPI | 1780618165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 1402) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 1402) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CO 1402) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CO 1402) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CO 1402) | |
| 103TR0400X Psychologist Rehabilitation (Licence: CO 1402) | |
| 103TH0004X Psychologist Health (Licence: CO 1402) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-16 |