| NPI | 1285943936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004418) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004418) |
| 103T00000X Psychologist (Licence: FL PY 9247) | |
| 103T00000X Psychologist (Licence: MN LP5654) | |
| 103TF0200X Psychologist, Forensic (Licence: CO PSY.0004418) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2024-03-15 |