| NPI | 1114090768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003717) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 32660) |
| 103TC0700X Psychologist, Clinical (Licence: CO 0003717) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-07-26 |