| NPI | 1467232082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LMLP03234) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LMLP03234) |
| 103TC1900X Psychologist, Counseling (Licence: KS LMLP03234) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |