| NPI | 1184264822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005194) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006673) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2025-02-19 |