| NPI | 1659682375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004276) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 073989) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-02-24 |