| NPI | 1275639445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1274) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2002011109) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-09-15 |