| NPI | 1801930177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 884) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: MO 01693) | |
| 103T00000X Psychologist (Licence: MI 6301015897) | |
| 103TC1900X Psychologist, Counseling (Licence: KS 884) | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family (Licence: KS 884) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: KS 884) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-10-21 |