| NPI | 1700206489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2199) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 70191) |
| 103TS0200X Psychologist School (Licence: KS 2758655713) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-04-26 |