| NPI | 1851700280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004324) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 7190) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-10-11 |