| NPI | 1255064499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006430) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY0006430) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-06-16 |