| 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 |