| NPI | 1235118191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY KY-0428) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040387A) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2011-01-05 |