| NPI | 1013296219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004000) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2025-11-05 |