| NPI | 1841325701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 933) |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 103T00000X Psychologist (Licence: CO 933) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |