| NPI | 1831414242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2397) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018007-1) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-09-04 |