| NPI | 1215343884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSY.0005195) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSYC.00013986) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-11-17 |