| NPI | 1255087060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSYC.00014002) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSYC.00014002) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00014002) | |
| 103TF0000X Psychologist, Family (Licence: CO PSYC.00014002) | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |