| NPI | 1134490444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1230) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: KS 1230) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: OK 1016) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: KS 1230) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: OK 1016) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: KS 1230) | |
| 103TS0200X Psychologist School (Licence: OK 1016) | |
| 103TS0200X Psychologist School (Licence: KS 1230) | |
| 103T00000X Psychologist (Licence: OK 1016) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OK 1016) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: KS 1230) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OK 1016) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2020-06-30 |