| NPI | 1790448959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CO NLC.0107593) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 17000370) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |