| NPI | 1861746729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004289) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012037392) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2024-11-03 |