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 |