| NPI | 1861278814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0006175) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO psy.0006175) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2024-02-09 |