| NPI | 1235743253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006568) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00015495) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-04-18 |