| NPI | 1508449489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005543) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11052) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-03-22 |