| NPI | 1669503470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0000004605) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO PSY4605) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-12-22 |