| NPI | 1326465238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2195) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KS 2195) |
| 103TC1900X Psychologist, Counseling (Licence: KS 2195) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |