| NPI | 1336431998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005018) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 30744) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2019-09-20 |