| NPI | 1619442407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: KS 01533) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00893) |
| 103T00000X Psychologist (Licence: KS 2886) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2023-10-02 |