| NPI | 1689938557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2018009703) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004536) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-03-13 |