| NPI | 1558852202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & 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 |