| NPI | 1609528454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 267375) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 267375) |
| 103TH0004X Psychologist, Health (Licence: KY 267375) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-04-11 |