| NPI | 1184899809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY-3722) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003183) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003722) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-07-10 |