NPI | 1265216147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSYC.00015146) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00015146) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-11-09 |