| NPI | 1184773665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: KY KY-0740) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY KY-0740) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-17 |