| NPI | 1396836151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 256) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 218) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-26 |