| NPI | 1609269604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 129217) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY KY-1011) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2016-05-26 |