| NPI | 1780791509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 5199) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 2776) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-07-06 |