| NPI | 1023590510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005197) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10252) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-04-08 |