| NPI | 1851869085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0014782) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC0014782) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0014782) | |
| 103T00000X Psychologist (Licence: CO LPC0014782) | |
| 103TC1900X Psychologist, Counseling (Licence: CO LPC0014782) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CO LPC0014782) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2025-05-22 |