| NPI | 1003403015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0005825) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810006389) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2023-01-30 |