| NPI | 1922118520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1644) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS FLP1335) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY003216) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-05-02 |