| NPI | 1750804597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 01513) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2832) |
| 103T00000X Psychologist (Licence: KS 2785) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-04-11 |