| NPI | 1598815086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 0094) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 651) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-12-16 |