| NPI | 1396199485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 172176) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 172176) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2025-10-09 |