| NPI | 1073751467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 917) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 917) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2021-04-05 |