NPI | 1376103614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005347) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0005347) |
103TF0000X Psychologist, Family (Licence: CO PSY.0005347) | |
Enumeration Date | 2019-06-18 |
Last Update Date | 2025-06-24 |