| NPI | 1316043078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 287) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 287) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-02-26 |