| NPI | 1801301817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004770) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 004137) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2020-08-21 |