| NPI | 1124508585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2778) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2864) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-02-28 |