| NPI | 1295142248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 175276) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 171622) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-06-17 |