| NPI | 1063471811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0002584) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2584) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-09-07 |