| NPI | 1619695798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 02992) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: KS 51286) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |