| NPI | 1952846255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005416) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009442) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2022-01-12 |