| NPI | 1104844877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3604) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3604) |
| 103TC0700X Psychologist, Clinical (Licence: ND 375) | |
| 103TC0700X Psychologist, Clinical (Licence: MO 2002030476) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-12-22 |