| NPI | 1992156129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0898) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004881) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-04-20 |