| NPI | 1215567425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY4196) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CO 0004196) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-08-18 |