| NPI | 1205957966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS LCP 1442) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 907) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-08-22 |