| NPI | 1831500750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0004439) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004439) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2019-05-17 |