| NPI | 1982182143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004907) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC.00013899) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004907) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2024-09-11 |