| NPI | 1851687859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2786) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS T-LPC 2253) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-01-15 |