NPI | 1124790068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: KS 03049) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 03049) |
Enumeration Date | 2021-09-29 |
Last Update Date | 2021-09-29 |