| NPI | 1194260786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2810) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2736) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-09-29 |