| NPI | 1487084695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004555) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS T-LP 2182) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2022-11-15 |