| NPI | 1467669960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP03007) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2004021723) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LP03007) | |
| 103TC0700X Psychologist, Clinical (Licence: MO 2004021723) | |
| 103TH0100X Psychologist, Health Service (Licence: KS LP03007) | |
| 103TH0100X Psychologist, Health Service (Licence: MO 2004021723) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-05-31 |