| NPI | 1306032800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0004849) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 8882) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-09-30 |