| NPI | 1467107334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006258) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2023-11-29 |