| NPI | 1821611195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006769) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2023000211) |
| 103TC0700X Psychologist, Clinical (Licence: CA 33755) | |
| 103TC0700X Psychologist, Clinical (Licence: KS 03194) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2025-06-27 |