| NPI | 1306395751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0004483) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: UT 10162580-2501) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-09-02 |