NPI | 1518201722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 240323) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KY 1016) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2022-07-05 |