| NPI | 1710554670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006588) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006588) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-11-04 |