| NPI | 1346730793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LP2890) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS TLP4983) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2020-09-14 |