| NPI | 1497411516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LP03074) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2021036132) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |