| 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 |