NPI | 1316256571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 130480) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY KY-2010-75) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2023-09-08 |