| NPI | 1528205481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0002491) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 2491) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2021-01-15 |