| NPI | 1972213338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006828) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2022044917) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2026-03-02 |