| NPI | 1457791584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2155) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 1207) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2019-06-11 |