| NPI | 1427601764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004979) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004979) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 0004979) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2021-09-23 |