| NPI | 1770273617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-2221) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006363) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-12-13 |