| NPI | 1457169922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 033379-T) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 03379-T) |
| 103TC0700X Psychologist, Clinical (Licence: KS 033379-T) | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-03-19 |