| NPI | 1770382079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS LMLP-03408) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS LMLP-03408) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LMLP-03408) | |
| 103TC0700X Psychologist, Clinical (Licence: KS LMLP-03408) | |
| 103TC1900X Psychologist, Counseling (Licence: KS LMLP-03408) | |
| 103TF0000X Psychologist, Family (Licence: KS LMLP-03408) | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |