| NPI | 1477033546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 282020) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY 282020) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-08-23 |