| NPI | 1831376771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004341) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0746) |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY-1312) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005295) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2025-02-12 |