| NPI | 1740668359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004218) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO Psy0004218) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-06-19 |