| NPI | 1932547031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004436) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004436) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-10-03 |