| NPI | 1083145858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 4575) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 4575) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 4575) | |
| 103TS0200X Psychologist, School (Licence: CO 4575) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-04-12 |