NPI | 1316243090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2546) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS T-LMLP 2467) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2024-09-06 |