| NPI | 1053968545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO PSY.0006235) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-01-17 |