| NPI | 1407453889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005675) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3260) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-11-09 |