| NPI | 1588595573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY0007078) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY1328) |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-07-13 |