| NPI | 1811253461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 2483) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 1413) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 2210) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 2399) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-04-17 |