| NPI | 1629497177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 03406) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 854) |
| 103T00000X Psychologist (Licence: MO 2025010400) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-06-03 |