NPI | 1235743253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006568) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00015495) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2025-04-18 |