| NPI | 1629165188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 199) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 0369) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |