| NPI | 1164048989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5863) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSYC.00014172) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-09-07 |