| NPI | 1720280555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 1046) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 1542) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-11-12 |