| NPI | 1457741282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2016008260) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2291) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-11-19 |