| NPI | 1841676137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: KY 167007) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 167007) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-03-29 |