| NPI | 1376348870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: CO PSYC.00016072) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO PSYC.00016072) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-07-22 |