| NPI | 1366084311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY0007061) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0971) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2026-06-24 |