| NPI | 1700687480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0006664) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CO PSY.0006664) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |