| NPI | 1639782402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0005904) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CO PSY.0005904) |
| 103T00000X Psychologist | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2022-10-14 |