| NPI | 1720129984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1633) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 12708) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-07-04 |