NPI | 1558852202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CO PSY.0005788) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005788) |
103TS0200X Psychologist, School (Licence: CO PSY.0005788) | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-12-06 |