| NPI | 1750530671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004197) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PS-T000924) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2015-02-18 |