| NPI | 1457184699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 14114257-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006777) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-08-01 |