| NPI | 1033368410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004711) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 34987) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2020-04-22 |