| NPI | 1851723696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004022) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA 17288) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2021-12-28 |