| NPI | 1780101014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004675) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00013735) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |