| NPI | 1982170775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004888) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |