| NPI | 1013989458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 770) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 770) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 770) | |
| 103TC1900X Psychologist, Counseling (Licence: KS 770) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-04-03 |