| NPI | 1801082250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3063) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CO 3063) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2013-09-04 |