| NPI | 1487206579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0005520) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO PSYC.00014109) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-04-20 |