| NPI | 1154053585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11935) |
| Additional Taxonomies | 103T00000X Psychologist |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO PSYC.00014817) | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-03-05 |