| NPI | 1841915972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005787) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3919-57) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |