| NPI | 1851737324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2132) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2015032104) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2015-09-21 |