| NPI | 1457416596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LMLP-0687) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS LCP-247) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |