| NPI | 1073877957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2197) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS T-LP 2017) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2014-04-17 |