| NPI | 1669094843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005287) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-08-23 |