| NPI | 1619854031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 03244) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |