| NPI | 1467321364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP03471) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006951) |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2026-01-20 |