| NPI | 1487704649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 247601) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 137685) |
| 103TC1900X Psychologist, Counseling (Licence: KY 247601) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-09-09 |