| NPI | 1174058176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004603) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY004077) |
| 103TF0200X Psychologist, Forensic (Licence: GA PSY004077) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-04-22 |