| NPI | 1194535781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 03386) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 03337-T) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-03-07 |