| NPI | 1619609112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005460) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6529) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-01-03 |