| NPI | 1588970966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2952) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist (Licence: KS 2793) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-03-26 |