| NPI | 1134535461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP 2463) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2518) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2016-12-14 |