| NPI | 1508111501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003732) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3732) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3732) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CO 3732) | |
| 103TS0200X Psychologist, School (Licence: CO 3732) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2021-09-10 |