| NPI | 1124358445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3021) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003021) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2021-09-10 |