| NPI | 1316472160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0006674) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06292) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2025-02-19 |