| NPI | 1851022396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 5565) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TE1100X Psychologist, Exercise & Sports | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |