| NPI | 1215631528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 1838) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1838) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |