| NPI | 1801843966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 0181) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 0437) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2014-10-03 |