| NPI | 1083664668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1470) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS TLMLP 970) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-07-19 |