| NPI | 1902125487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: KS 2443) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: KS 2649) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2017-01-25 |