| NPI | 1265970909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1461) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 1461) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2025-02-20 |