| NPI | 1346547940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 2068) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1352) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2018-04-16 |