| NPI | 1104548601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006450) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-11-11 |