| NPI | 1013499656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2701) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: KS T-LP2621) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2019-07-01 |