| NPI | 1144498171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003579) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1955) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2023-12-21 |