| NPI | 1548331382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 0656) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 1999142241) |
| 103T00000X Psychologist (Licence: KS 216) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-09-23 |