| NPI | 1154755544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2489) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1476) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2026-01-28 |