| NPI | 1972915957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004181) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 1170) |
| 103TC0700X Psychologist, Clinical (Licence: IA 141629) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2026-10-12 |