| NPI | 1528342706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3616) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3616) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-02-16 |