| NPI | 1881148203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004551) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00013692) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2017-02-27 |