| NPI | 1962929158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005827) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017180) |
| 103TH0004X Psychologist, Health (Licence: MI 6301017180) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-09-21 |