| NPI | 1669671103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3957) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2174) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2024-05-14 |