| 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 |