| NPI | 1477981488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004278) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36423) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2025-04-07 |