| NPI | 1447684477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006165) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005802) |
| 172A00000X Driver | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2025-08-20 |