| NPI | 1154843357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006289) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006289) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-09-18 |