| NPI | 1598133043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005798) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021347) |
| 103T00000X Psychologist (Licence: OR 100367) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2022-08-22 |