| NPI | 1831796739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006642) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 224692) |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2025-09-12 |