| NPI | 1700911781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5113) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1357) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-03-09 |