| NPI | 1952858458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2154) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 0002154) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-06-30 |