| NPI | 1144419490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 1073) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 1073) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-02-02 |