| NPI | 1619605284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 282191) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 277217) |
| 103TC0700X Psychologist, Clinical (Licence: KY 282191) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-02-15 |