| NPI | 1730789157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0005409) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-12-17 |