| NPI | 1629322979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 129009) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 129009) |
| 103T00000X Psychologist (Licence: KY 1743) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2020-06-03 |