| NPI | 1104450394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSY.004811) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY24600) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.004811) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY24600) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.004811) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY24600) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |