| NPI | 1629452438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006065) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004331) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-09-27 |