| NPI | 1588001077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2012036300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004540) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2024-01-24 |