| NPI | 1760781454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 129911) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 1193) |
| 103T00000X Psychologist (Licence: IN 20042817A) | |
| 103T00000X Psychologist (Licence: KY 1728) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: KY 129911) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY8253) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2020-11-20 |