| NPI | 1437328200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 115837) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 0062) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2021-09-07 |