| NPI | 1467857334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0005072) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DE B1-0001004) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2021-10-22 |