| NPI | 1780618165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1402) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CO 1402) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 1402) | |
| 103G00000X Clinical Neuropsychologist (Licence: CO 1402) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CO 1402) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CO 1402) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CO 1402) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2026-01-23 |