| NPI | 1780920025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005893) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 40242) |
| 103TC0700X Psychologist, Clinical (Licence: UT 11676415-2501) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 026626) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2024-09-18 |