| NPI | 1477682276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2002004683) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS LP1020) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-10-06 |