| NPI | 1255591210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1431) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1175) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2011-12-08 |