| NPI | 1699146308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.00004283) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 1238) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-06-16 |