| NPI | 1437516119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004594) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO NLC.0104881) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2017-07-19 |