| NPI | 1043939788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSYC.00015063) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CO PSYC.00015063) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |