| NPI | 1386137016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005796) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO PSY.0005796) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-07-31 |