NPI | 1225345713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0003899) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0003899) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2018-10-09 |