| NPI | 1467835298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B10001150) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2612) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-09-18 |