| NPI | 1750889127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 243520) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 175138) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2023-10-02 |