| NPI | 1700325131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2538) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2481) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2018-03-02 |