| NPI | 1669153755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00015265) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CO PSYC.00015265) |
| 103TH0004X Psychologist, Health (Licence: CO PSYC.00015265) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-10-04 |