| NPI | 1356112411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006940) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 6476) |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: NC 6476) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2026-01-20 |