| NPI | 1699723346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 774) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO PY-01484) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-06-20 |