| NPI | 1033344072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0001915) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 487) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2019-07-16 |