| NPI | 1063921815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005539) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CO 24395285) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2025-04-23 |