| NPI | 1487830873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006517) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19201) |
| 103TC0700X Psychologist, Clinical (Licence: CA 19201) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2024-10-23 |