| NPI | 1417278961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0003996) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MO 2008032257) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2014-08-06 |