| NPI | 1912557281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 5372) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC00014263) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-05-09 |