| NPI | 1487396297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0005779) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005779) |
| 103TH0100X Psychologist, Health Service (Licence: CO PSY.0005779) | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-07-21 |