| NPI | 1073628525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS LCP 062) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS LMLP 0120) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |