| NPI | 1457407462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 280704) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 469) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-03-06 |