| NPI | 1124670393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005603) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 4078) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2025-08-04 |