| NPI | 1609122365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004839) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60277408) |
| 103T00000X Psychologist (Licence: MI 6301019072) | |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004839) | |
| 103TC1900X Psychologist, Counseling (Licence: CO PSY.0004839) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-05-24 |