| NPI | 1083991236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CO 3664) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: CO 3664) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2022-07-21 |