| NPI | 1356708838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 243586) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY PSYPST00224030) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2023-07-10 |