| 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 |