| NPI | 1043313885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS PSY 985) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PY R0477) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2026-01-14 |