| NPI | 1336591544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004427) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CO PSY.0004427) |
| 103TC0700X Psychologist Clinical (Licence: CO PSY.0004427) | |
| 103TH0004X Psychologist Health (Licence: CO PSY.0004427) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2020-11-12 |