| NPI | 1275079543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LP03336) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 5095-57) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-06-18 |