| NPI | 1740631258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CO PSY.0004459) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2021-03-15 |