| NPI | 1235752353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006040) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3831-57) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-06-12 |