| NPI | 1013230135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3803) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3803) |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 3803) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3803) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2022-11-22 |