| NPI | 1477931921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005010) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005216) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-05-08 |