| NPI | 1619104056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004622) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 103066) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2023-04-25 |