| NPI | 1013450501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005186) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10309) |
| 103TH0100X Psychologist, Health Service (Licence: MA 10309) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2020-07-14 |